| NPI | 1164548756 |
|---|---|
| Doing Business As | LAKE SHORE OPEN MRI & CT |
| Entity Type | Organization |
| Authorized Contact | RAGHU NAYAK President 773-761-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |